Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellis Lamar Wynn IV, CRNA

Individual provider Registered Nurse · NPI 1801625421

Ellis Lamar Wynn IV, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Evans, Georgia. Qualified in 2025, 1 year ago. Practices with Billings Clinic, a 805-clinician group and accepts Medicare assignment. Licensed in Georgia and Montana.

Years since qualifying
1
Licensed in
GA, MT
In the registry since
2024
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

1139 Picket Fence Dr
Evans, GA 30809-9158
Phone: (229) 854-9517
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 267591 (MT)
Registered Nurse Taxonomy 163W00000X · Licence RN286537 (GA)

Record details

NPI number1801625421
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 31, 2024
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Billings Clinic — 805 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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